Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1336237882

NPI: 1336237882Share
Active Billing Period:2019-11→2024-11(61 months)

Total Paid

$12.7M

$12,685,585

Total Claims

86K

Beneficiaries

8,093

10.7 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2019
$380K
+422%
2020
$2.0M
+6%
2021
$2.1M
+17%
2022
$2.5M
+19%
2023
$2.9M
-3%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 54% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$6.8M

34K claims · 53.8%

Your Cost: $202.91/claim|Median: $331.94
0.6× median
H2032Normal range

Activity therapy, per 15 minutes

$4.5M

42K claims · 35.7%

Your Cost: $108.23/claim|Median: $108.23
1.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$1.0M

10K claims · 8.0%

Your Cost: $100.29/claim|Median: $169.11
0.6× median
T2020Top 5%

Day habilitation, waiver; per diem

$212K

250 claims · 1.7%

Your Cost: $849.18/claim|Median: $87.34
9.7× median
H2016Normal range

Comprehensive community support services, per 15 min

$84K

248 claims · 0.7%

Your Cost: $338.93/claim|Median: $321.53
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$6K

108 claims · 0.1%

Your Cost: $59.95/claim|Median: $96.24
0.6× median
T2028Normal range

Specialized supply, NOS; per unit

$6K

133 claims · 0.0%

Your Cost: $43.44/claim|Median: $79.30
0.5× median
← All providersHow we detect fraud →